Job Description

Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of approximately 200 physicians practicing in the areas of anesthesiology, pathology, radiation oncology, radiology, and vascular & interventional radiology. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.

POSITION SUMMARY

Provides diverse administrative support for unique credentialing- & privileging-related projects for clients across the U.S. with providers in varying specialties including radiology, radiation oncology, pathology and anesthesiology. Assists credentialing and enrollment staff with preparation, distribution and tracking of various credentialing and enrollment-related documents as well as with maintaining and organizing credentialing and enrollment data. Additional responsibilities may include gathering, tracking and reporting of all continuing medical education (CME) records.

ESSENTIAL FUNCTIONS

1. Completes provider recredentialing applications; monitors applications and follows up as needed
2. Documents work assignments within the specified systems and timeframes
3. Participates in process improvement activities
4. Supports the maintenance and organization of provider records (digital and hardcopy)
5. Assists with verifying and maintaining an accurate credentialing database
6. Follows established data entry protocols of the department
7. Assists with maintaining all expiring credentials including, but not limited to licensure, DEA certificates, board certification, malpractice insurance, and any other required credentialing documents for all providers.
8. Updates providers’ CAQH as appropriate and performs re- attestations
9. Maintains appropriate level of sensitivity and confidentiality regarding department material and information
10. Collaborates with credentialing and enrollment staff on projects, policies and procedures
11. Responds to general requests from physicians and hospital sites within specified timeframes

PRIMARY RESPONSIBILITIES

• Learns various office software support applications
• Navigates easily between tasks for various clients
• Remains flexible for other requested and assigned duties
• Attends meetings as assigned and participates in educational activities to keep skills up to date
• Demonstrates professionalism at all times
• Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
• Performs other duties necessary to maintain the overall efficiency and continuity of the department

QUALIFICATIONS

• High School Diploma
• 1-2 years’ experience in credentialing/privileging or enrollment desired
• Strong organizational, time management skills with high attention to detail and accuracy
• Ability to work independently and as a member of a team, with little supervision; solution and detail oriented
• Excellent communication and interpersonal skills with the ability to professionally communicate with physicians, leadership and all levels of staff
• Ability to manage multiple tasks, simultaneously
• Proficient computer skills with working knowledge of Microsoft Office applications, particularly Word, Excel, and Outlook
• Experience with MD Staff or other credentialing databases preferred
• Ability to handle confidential provider information with discretion and professionalism

PHYSICAL DEMANDS / WORK ENVIRONMENT

• Operation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, dictation machine, scanner, e-mail system, cell phone, pager, and copier
• May be required to sit or stand (presentations) for extended periods of time
• Light lifting of paperwork, folders or other general record keeping materials
• On occasion, may be asked to travel to various sites of service (such as remote sites of service), hospital or clinical site credentialing departments or Medical Staff Services events

BENEFITS & PERKS

• Health insurance (80% company-paid)
• HSA Match ($3000 family plan/$1625 individual plan)
• Dental & Vision Insurance Plans
• 401(k) Match and Profit-Sharing Plans
• Life and Accidental Death and Dismemberment Insurance
• Long-term Disability Insurance
• Short-term Disability Insurance
• Short-term Disability Insurance
• Generous Paid Time Off
• Voluntary, Employee-Paid Benefits
• Medical Reimbursement Plan

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